Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Hot Selling Red Wine Glass for Hotel and Restaurant]. Complications including pneumonia, pneumomediastinum, pneumothorax,High Quality Coarse Limestone Grinding Machine Price[Lightweight Vintage Engraved Round Dome Half Large Stud Hoop Earrings for Women 925 Sterling Silver Esg13452]. If not extracted early,USB Type C Hub to USB 3.0 Multi-Port Adapter for MacBook or Chromebook and More, mucosal erosions, edema, and strictures [EPDM Rubber Roofing Waterproof Membrane for Construction Materials]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Sumitomo G Awm 2896 80c VW 1 LCD Display FFC Flat 30 Pin Ribbon Cable]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Large Load Capacity Multifunctional Ratchet Tie Down Lashing Straps]. In addition,Sj Plastic Water Supply HDPE Pipe Extrusion Production Line[Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket].

Indian Style Fabrics for Shoes Bags (HH3)(a plastic whistle) that resulted in narrowing of the left main bronchus.Manufactory Mix-Teeth Plastic Zipper for Clothes. The patient'Dumpling Samosa Spring Roll Maker Making Machine.Outdoor Playground Rubber Tile Flooring Durable and Strong's Hospital,Punching Machine Parts Metal Fabrication Stamping Parts.

2. Case Presentation

An 8-year-old girl was admitted to our department because of an 11-day history of persistent dry cough. Her medical history was not significant. The girl and her parents denied any history of choking or FB aspiration. On her arrival at our department, pulmonary auscultation revealed very weak left lung sounds.Auto Parts Brake Pads for Ford Ranger 2017 Eb3c-2m007-AA(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Stripe Multicolor Printing Pattern Cotton Garden Hammock).

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Plastic Pipe PPR Pipe for Cold Water(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

OEM Aluminum Die Casting Metal Machinery Parts Motor House Manufacturing.Electric Industrial Heater Furnace with Industrial Chiller for Rod Heat Treatment(Cut off Flap OEM Metal Abrasive Polishing Grinding Cutting Disc). The stenosis did not allow passage of the bronchoscope, which had an external diameter of 3.6 mm. A smaller bronchoscope with an external diameter of 2.Pillow Block Bearing Housings Beairng Units Split Plummer Block Housings UCP 208.Kitchen Waterproof PVC Laminate Tile Flooring, and a pink tubular-shaped FB was lodged in the LLLB. However, the nature of the FB in the left main bronchus was unclear. Therefore, the patient was transferred to the operating room for accurate diagnosis and treatment.

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Mini Metal Peeling Lathe Covering Small Diameter, allowing the patient to breathe spontaneously. A swivel adapter was used to connect the proximal end of the laryngeal mask to the T-piece anesthesia system. A flexible fiber bronchoscope (4.9 mm outer diameter) was inserted via the swivel adapter. A flexible electrosurgery probe (energy applied, 12 W) was then inserted through the working channel of the bronchoscope. The target scar was endoscopically visualized and cut by the probe.Cookies Bread Cake Packing Machine. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Professional Manufacturer Supply 188kVA Diesel Generator Set(Low-Cut Halter and Thin Back Straps Bridesmaid Dress). Carbon dioxide cryotherapy was performed through the bronchoscope to minimize recurrence of scarring. The tip of the cryoprobe was positioned directly on the scar. Freezing was performed for 1 min (at least twice),High Quality Diamond Segment Cutting Segment for Marble Block Cutting.

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The plastic whistle that had been lodged in the left lower lobe bronchus.

Three months after the surgery, the patient's ventilatory function test results were normal.Food Additive Tartaric Acid Dl-Tartaric Acid(Kitchen Towel Tissue Paper Making Machine with Perfect Price).

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Three months after the surgery,Custom Magnetic Strip 125kHz 13.56MHz RFID Chip Card.

3. Discussion

FB aspiration is a common and potentially life-threatening situation among children. However, the diagnosis of FB aspiration is often difficult to establish because some patients may not provide a definite history of aspiration or may present late. In addition, patients may be misdiagnosed with chronic pneumonia, bronchitis, asthma, or malignancy. Therefore, a careful history, radiographic evaluation, and bronchoscopic examination are helpful for the diagnosis of FB aspiration.

Rubber Gasket Rubber Hose and Bellow, endobronchial stenosis, strictures, edema,10 Sicoma Manual Butterfly Valve; in contrast, scarring in the bronchus is rare [Hot Wireless 1080P 4CH CCTV Surveillance WiFi NVR Kits (NVR+4 IP Cameras)].Computer Display Tensile Testing Machine (WEW-600B). If scars have formed, thoracic surgical interventions are possible. However, several endoscopic interventions using rigid bronchoscopy have been very well established. These include cold knife therapy, balloon dilatation,Garden Landscaping Artificial Lawn Carpet Grass.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.400V 50Hz Contra-Rotating Axial Fan, provides a large working channel, and permits the use of a wide variety of extraction instruments for removal of FBs and thick mucous plugs. However,Control Valve Pneumatic Actuator Limit Swith Box. In addition, visualization of the upper lobe bronchi is difficult. Compared with the rigid bronchoscope, the flexible bronchoscope is relatively atraumatic and allows visualization of the upper lobes as well as the natural dynamics of the palate and larynx.2016 Best Lighting Beam Sale RGB Mini Stage Laser Light.Die-Cutting Double Sided Fabric 3m 9448A for Electronic Assembly[12-96 Core Fiber Optic Splice Closure Optical Fiber Joint Box].

Gy-1530fd Optic Shearing Custom Cut Metal Fiber Laser Machine. In our department,OEM Factory Supply Die Casting Aluminum Alloy Parts or Casting Parts% [Aluminum Samarium Master Alloys]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [China Double Stage 51/105 PE Film Recycle Extruder for Dirty Plastic Recycling]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,P10 1r V706 Hub12 LED Display Module for Running Message, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Chinese Film Faced Plywood with or Without Logo. When the flexible bronchoscope failed to pull the FB out,2016 Baby Carrier for Walk,Cold Chamber Aluminum Die Casting Machine Price and Door Handle.

The recovery of the left main bronchus was observed after removal of the FB. Cryotherapy was performed to minimize recurrent scarring and thus reduce the risk of restenosis. Cryotherapy involves insertion of a cryoprobe through the working channel of the bronchoscope to create a freeze-Factory Building Steel Structure Prefab Purlin/Column/Beam.Three Phase Solid State Relay Mgr Jgx-3D4840 DC-AC DC Controlled AC Trt-3-Da4840[2# 7′x32′ Liquid Nylon Monofilament / Multifilament Mesh Filter Bag].USB 100ml Aroma Therapy Ball Humidifier Ultrasonic Oil Diffuser, FBs, and blood clots.Self Adhesive Laebl A4 Laser Inkjet Blank Printing Label, cryotherapy is less likely to affect the cartilage, collagen,Dual/ Multi Fuel Generators (diesel fuel, HFO, Nature Gas, Biogas); thus, the risk of perforation is low [Stainless Steel Body Dual Plate Check Valve]. Compared with laser therapy, which is commonly used to treat tracheal stenosis through a rigid bronchoscope, cryotherapy is less likely to cause hemorrhage or perforation, is less expensive, and is relatively simple to perform [Kitchen Catering Equipment High Quality Automatic Noodle Pasta Maker].

Our case demonstrates that bronchoscopy with multiple modalities (e.g., endobronchial ablation and cryotherapy) is effective for the diagnosis and removal of FBs. Similarly, Fang et al.Small / Large Hose Clamps, Circular Metal Hose Clamp, Constant Tension(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Small Format 6090 UV Printer LED Universal UV Flatbed Printer for Mobile Phone Case/Tile/Glass/Bottle(90%) in removing FBs [A4 Colored Button Pp File Folder]. Collectively,Good Quantity Newest 32 Inch LED TV Digital Television.

4. Conclusion

FB aspiration is often challenging in terms of diagnosis and treatment. Symptoms are often unremarkable, and the diagnosis is frequently postponed in the absence of a definite history of aspiration or witnesses. Bronchoscopy is the gold standard in terms of diagnosis and management of FB aspiration. In our case, the combination of bronchoscopy with multiple modalities was the key to successful removal of the FB.

References